Moar J J
Medicolegal Laboratories, Department of Health, Johannesburg, South Africa.
Forensic Sci Int. 1996 Apr 23;78(3):219-30. doi: 10.1016/0379-0738(95)01887-5.
The medicolegal approach to cases of anaesthetic-associated mortality and anaesthetic contributory death (ACD) occurring in Johannesburg, South Africa is presented. The approach adopted has been found to be reasonably workable in practice and places heavy emphasis on the surgical and anaesthetic-related reasons for perioperative deaths and, in particular, on their multifactorial aetiology. It is recognised that in view of the multifactorial nature of the anaesthetic environment certain errors in clinical anaesthetic management are neither precisely quantifiable nor assessable. It is further emphasized that perioperative quality control programs as well as Inquest Court proceedings should comprise input by a team of specialists and which include clinical anaesthesiologists, surgeons and forensic pathologists.
本文介绍了南非约翰内斯堡针对麻醉相关死亡病例和麻醉促成死亡（ACD）所采用的法医学方法。实践发现所采用的方法切实可行，且高度重视围手术期死亡的手术和麻醉相关原因，尤其是其多因素病因。鉴于麻醉环境的多因素性质，临床麻醉管理中的某些失误既难以精确量化，也无法评估。本文进一步强调，围手术期质量控制计划以及死因裁判法庭程序应包括由一组专家提供的意见，其中包括临床麻醉医生、外科医生和法医病理学家。
